MSCMHC PRACTICUM AND INTERNSHIP MANUAL
MASTER OF SCIENCE INCLINICAL MENTAL HEALTH COUNSELINGBELLEVUE UNIVERSITYMSCMHCPRACTICUM ANDINTERNSHIPMANUAL2020-2021MSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/211
Table of ContentsPURPOSE3READINESS3COUNSELING PRACTICUM (MCC605)6Course Description6CACREP Standards6CLINICAL INTERNSHIPS (MCC691, 692, 693, 694)7Course Descriptions7CACREP Standards8ENROLLMENT, SITES and SUPERVISORS9Enrollment9Site Selection10Site Supervisor11Faculty Supervisor12EXPECTATIONS OF STUDENTS13LIABILITY INSURANCE13TIPS FROM THE FACULTY14TEVERA15The First Step16What Should I See?16Helpful Tevera Videos17Beginning the Practicum Process17Beginning the Internship Process18FREQUENTLY ASKED QUESTIONS19TERMINOLOGY23MSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/212
PURPOSEThe purpose of this Clinical Manual is to introduce students and their supervisorsto program expectations and requirements for satisfactory completion of theCounseling Practicum and Clinical Internships in the Master of Science in ClinicalCounseling program at Bellevue University.The Bellevue University MSCMHC program is CACREP-accredited as of June,2017. Students who began the program in Summer, 2016 and took all of theCACREP-aligned courses are eligible to be included in the accreditation. Studentswho began the program before Summer, 2016 are completing a “CACREPequivalent” program.The Bellevue University Clinical counseling faculty consider the CounselingPracticum and the Clinical Internships to be some of the most importantprofessional training experiences you will have. These clinical experiences providethe opportunity for you to apply knowledge learned through your academicexperiences and to assist you in developing mental health counseling skills underthe supervision of a licensed counseling professional.STUDENT READINESSAre you ready for Counseling Practicum (MCC 605)? Students must havecompleted all of the Foundational coursework (24 credit hours) prior to theCounseling Practicum as the Foundational coursework prepares you for your firstclinical experience. In order to obtain permission from the Clinical Coordinator toenroll in MCC 605 the student must first submit a Practicum Application (signedby the student), a Practicum Agreement (signed by the student and the proposedsite supervisor), and a copy of the student’s current liability insurance (upload theface sheet) in Tevera in order to receive approval for enrollment. (For instructionson how to do this and where the forms are located, see the section entitledTEVERA).Are you ready for Clinical Internship I (MCC 691)? Students must havecompleted MCC 605 prior to Clinical Internship I and successfully completedResidency II. In order to obtain permission from the Clinical Coordinator to enrollin MCC 691 the student must complete an Internship Application in Tevera. Afterthe Application is approved and signed by the Clinical Coordinator the studentMSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/213
should complete the Internship Agreement in Tevera, signed by the student and thesite supervisor, and upload a copy of the student’s liability insurance in Tevera.The student must complete these application materials even if there is no change insite placement or supervision. Before enrollment in MCC 691 the ClinicalCoordinator must also receive verification from the student’s MCC 605 FacultySupervisor that all required hours, assignments, and paperwork from practicumhave been completed. Once these documents are signed off by the ClinicalCoordinator, the student may enroll in Internship I. Students must take the ClinicalInternship courses in sequence (e.g. MCC 691 prior to MCC 692 and MCC 692prior to MCC 693).Are you ready for Clinical Internship II (MCC 692)? Students mustsuccessfully complete MCC 691 prior to Clinical Internship II. In order to obtainpermission from the Clinical Coordinator to enroll in MCC 692 the student mustsubmit an Internship Application in Tevera; once the Application has been approvedand signed an Internship agreement signed by student and the site supervisor issubmitted in Tevera and a copy of the student’s current liability insurance isuploaded in Tevera. Even if the student is remaining in the same placement forClinical Internship II these three pieces of information must be complete. Beforeenrollment in MCC 692 the Clinical Coordinator must also receive verificationfrom the student’s MCC 691 Faculty Supervisor that all required hours,assignments and paperwork from the first internship have been completed.Students must take the Clinical Internship courses in sequence (e.g. MCC 691prior to MCC 692 and MCC 692 prior to MCC 693).Are you ready for Clinical Internship III (MCC 693)? Students mustsuccessfully complete MCC 692 prior to Clinical Internship III. In order toobtain permission from the Clinical Coordinator to enroll in MCC 693 thestudent must submit an Internship Application in Tevera; once the Application isapproved an Internship agreement signed by the student and site supervisor issubmitted in Tevera and a copy of the student’s current liability insurance isuploaded in Tevera. Even if the student is remaining in the same placement forClinical Internship III these three pieces of information must be complete. Beforeenrollment in MCC 693 the Clinical Coordinator must also receive verificationfrom the student’s Faculty Supervisor that all required hours, assignments andpaperwork from the second internship have been completed. Students must takethe Clinical Internship courses in sequence (e.g. MCC 691 prior to MCC 692 andMCC 692 prior to MCC 693).MSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/214
Are you ready for Internship IV (MCC 694)? Students must successfullycomplete MCC 693 prior to Clinical Internship IV. In order to obtain permissionfrom the Clinical Coordinator to enroll in MCC 694 the student must submit anInternship Application in Tevera. Once this Application is approved and signed, anInternship Agreement signed by the student and site supervisor must be submittedin Tevera and a copy of the student’s current liability insurance is uploaded inTevera. Before enrollment in MCC 694 the Clinical Coordinator must also receiveverification from the student’s Faculty Supervisor that all required hours,assignments and paperwork from the third internship have been completed. Pleasenote: Internship IV is not a required course for completion of the MSCMHCdegree. It is designed only for those students who plan to become licensedand/or employed in a state that requires extra internship hours beyond the700 hours this program requires for the completion of Practicum andInternship. Please check the rules and regulations of your state, or contactyour state licensing board, for more information.You are not permitted to enroll in more than one Internship course persemester. You can, however, enroll in one MSCMHC academic course whileyou are completing your Practicum or Internship.Even if the Practicum/Internship site has its own liability insurance you arerequired by the Bellevue University MSCMHC program to obtain yourpersonal liability insurance.MSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/215
COUNSELING PRACTICUM – MCC 605Course DescriptionThe Counseling Practicum is a clinical, experiential course designed tostrengthen students’ skills and understanding of the practice of clinical mentalhealth counseling through supervised practice. In this initial Clinical Course,students will complete 100 hours of supervised practice, forty-percent (40%) ofthe hours must be direct client contact hours with clients/patients/consumers.Additionally, students will attend a required weekly class led by ProgramFaculty designed to deepen their learning and growth at the Practicum site.Weekly attendance and completion of written assignments is mandatory.The Counseling Practicum experience is your entrance into the practice ofcounseling. Direct hours include, but are not limited to, activities such asindividual counseling, group counseling, intake interviews, and crisisconsultation and assessment. Your direct contact with the client can be performedindividually or in a co-therapy mode where you and your supervisor, or anotherprofessional, work together to assist the client or group. All other hours you workat your site can be considered indirect hours. Indirect hours can include all theother non-client focused activities such as clinical paperwork, preparation forsessions, supervision, and your MCC 605 weekly class time.CACREP Standards Met in MCC 605Knowledge StandardsII.G.1.i Advocacy processes needed to address institutional and social barriers thatimpede access, equity, and success for clients.II.G.1.e Counseling supervision models, practices, and processesII.G.5.c Essential interviewing skillsIII.F.1 Students must complete supervised practicum experiences that total aminimum of 100 clock hours over a minimum of 10 week academic term.Each student’s practicum includes at least 40 hours of direct service withactual clients that contributes to the development of counseling skills.III.F.2 Weekly interaction that averages one hour per week of individual and/ortriadic supervision throughout the practicum by a program facultymember, a student supervisor, or a site supervisor who is working inbiweekly consultation with a program faculty member in accordance withthe supervision contract.III.F.3 An average of 1.5 hours per week of group supervision that is provided ona regular schedule throughout the practicum by a program faculty memberor a student supervisor.MSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/216
III.F.4III.F.5CMHCA.5CMHCE.4CMHCF.2The development of program-appropriate audio/video recordings for use insupervision or live supervision of the student’s interactions with clients.Evaluation of the student’s counseling performance throughout thepracticum, including documentation of a formal evaluation after thestudent completesthe practicum.Understandsa varietyof models and theories related to clinical mentalhealth counseling including the methods, models, and principles of clinicalsupervision. effective strategies to support client advocacy and influenceUnderstandspublic policy and government relations on local, state, and national at andaffect gramsare equitablepractice of clinicalmentalneedshealthresponsiveof the uniqueofcounseling.clients.CLINICAL INTERNSHIPS I, II, III, IV (MCC 691, 692, 693, 694)Course DescriptionThe Internship is an advanced clinical, experiential course designed to strengthenstudents' skills and understanding of the practice of clinical mental healthcounseling through supervised practice. In the three Internship courses, studentswill complete a total of 600 hours of supervised practice, forty-percent of thehours must be direct service with clients/patients/consumers. A minimum of 10hours of leading or co-leading group work is required prior to Internship III.Additionally, students will attend a weekly required class led by Program Facultydesigned to deepen the student’s learning and growth at the Internship site.The Clinical Internship is completed in three sequential terms in which you willcomplete 600 hours total. Each of the courses (691, 692, 693) require aminimum of 200 total hours per term with a minimum of 80 hours of directservice with clients/patients/consumers. As long as you have accrued aminimum of 160 hours (minimum of 64 direct hours) by the end of the academicterm you may proceed to enroll in the next Internship class. However, whileenrolled in the next Internship class, you will still be accruing hours for theprevious Internship class. Once you have completed the required 200 hours (80direct) you will then be able to begin accruing hours for the Internship in whichyou are currently enrolled. If you do not obtain at least 160 total hours(minimum of 64 direct hours) in your Internship you will fail the course, yourhours will reset to zero (0), and you will need to repeat the Internship class. Youmust be enrolled in an Internship class, and attending required supervision, inorder to accrue hours. At the end of your Clinical Internship experience, youwill have accrued a minimum of 240 direct hours, 360 indirect hours, and 600hours total.MSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/217
NOTE: It is important, as we have noted since your first term, for you to be awareof the clinical requirements set out by your State Counselor Licensing Board.Most states use the CACREP Standard of 600 hours with a minimum of 40%direct hours, but a few states require more hours during your Internship. Checkyour State Licensing Board which can be accessed through the ACA’s Webpage(www.counseling.org). Should the state in which you plan to become licensedand/or employed require more than the 700 hours of Practicum and Internship,you can complete additional hours in all of your Internship courses or take a fourthInternship course (MCC 694). MCC 694 is an optional course and not requiredfor completion of the MSCMHC degree.In addition, due to certain state regulations, no more than 20 hours of trainingwill be allowed to be added to your total indirect hours for Practicum andInternship courses each term. This does not apply to required training that ismandated by your site. The 20 hour limit only applies to training (CEUs,workshops, conferences, etc.) that you are personally interested in and are takingoutside of your required training for your site. The 20 hour limit is per class perterm.CACREP Standards Met in MCC691/692/693Knowledge StandardsII.G.5.bDevelop understanding of counselor characteristics and behaviors that influencehelping processes.Skill StandardsII.G.5.cDevelop essential interviewing and counseling skills.CMHCB.1Demonstrates the ability to apply and adhere to ethical and legal standardsin clinical mental health counseling.CMHCB.2Applies knowledge of public mental health policy, financing, andregulatory processes to improve service delivery opportunities in clinicalmental health.Understands professional issues relevant to the practice of clinical mentalhealth counseling.CMHCC.9MSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/218
CMHCD.3Promotes optimal human development, wellness, and mental health throughprevention, education and advocacy activities.CMHCD.4Applies effective strategies to promote client understanding of and accessto a variety of community resources.CMHCD.5Demonstrates appropriate use of culturally responsive individual, couple,family, group, and systems modalities for initiating, maintaining, andterminating counseling.Applies current record-keeping standards related to clinical mental healthcounseling.CMHCD.7CMHCD.9CMHCF.1Demonstrates the ability recognize his or her own limitations as a clinicalmental health counselor and to seek supervision or refer clients whenappropriate.Maintains information regarding community resources to makeappropriate referrals.CMHCJ.2Develops measurable outcomes for clinical mental health counselingprograms, interventions, and treatments.CMHCJ.3Analyzes and uses data to increase the effectiveness of clinical mentalhealth counseling interventions and programs.CMHCL.1CMHCL.2Demonstrates appropriate use of diagnostic tools, including the currentedition of the DSM, to describe the symptoms and clinicalpresentation of clients with mental and emotional impairments.Is able to conceptualize an accurate multi-axial diagnosis of disorderspresented by a client and discuss the differential diagnosis withcollaborating professionals.ENROLLMENT, SITES AND SUPERVISORSEnrollmentThese two forms must be completed in Tevera for approval to enroll in MCC 605Counseling Practicum: Counseling Practicum ApplicationCounseling Practicum AgreementMSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/219
Upload: Proof of Professional Liability InsuranceThese two forms must be completed in Tevera for each of the Clinical Internshipcourses: Clinical Internship Application Clinical Internship Agreement Upload: Proof of Professional Liability InsuranceBeginning July 1, 2019, all paperwork associated with Practicum/Internshipswill be completed and submitted in Tevera (see page 15). All of yourapplication/agreement forms, copies of your liability insurance and paperworkassociated with your practicum and internship sites will be archived in Teveraand available to you at any time in the future.Until these forms are submitted, and the Clinical Coordinator has approved yourforms, you will not be allowed to register for Practicum or Internship. TheClinical Coordinator will notify Graduate Advising of approval for enrollment inCounseling Practicum once your site and supervisor have been approved. Forapproval to register for Clinical Internship I, Clinical Internship II, or ClinicalInternship III, the Clinical Coordinator will also need verification of completionof the current Practicum/Internship hours and final coursework before the studentcan be approved to enroll in Internship I, II, or III. After all of your paperwork iscomplete Graduate Advising will be notified that you are ready to enroll in yournext course.Site SelectionA wide variety of counseling sites can qualify as appropriate Counseling Practicumand Clinical Internship sites. The process of locating and securing a site takes timeand focused energy. It is best to start early (3-6 months prior to the student’sexpected start date) and think of this process as a job search. In some communities,there can be stiff competition for the best practicum/internship sitesWe recommend that the student schedule a conversation with his/her FacultyMentor or the Clinical Coordinator before beginning to develop a plan forCounseling Practicum and Clinical Internship. The exploration of what kindof site to search for should be based on the student’s goals, methods forlocating a site, the availability of sites and the application process.MSCMHC PRACTICUM AND INTERNSHIP MANUAL- 2020/2110
When making a decision about a site consider the following: Client population served at the site Services/programs provided Facilities/ commuting distance Availability of licensed counseling staff Opportunities available to a practicum/internship student Readiness to work with practicum/internship studentIn your own community it is important for you to network with local counselorsand counseling agencies. Once you hear about the kind of agency and thepopulation you’d like to work with, begin the networking process by asking allof the providers/counselors that you know who they know in those agencies.Having a referral can be helpful in getting to the decision makers in the agency.Additional resources include area professional counseling organizations such asyour state counseling organization, your fellow students who may be currentlyworking in an internship or work setting, some internship opportunities that areposted on the Clinical Counseling Community webpage, and United Way fundedorganizations in your area which are typically smaller, specialized counselingservice providers. Students in the MSCC program have found a wide array oftraining opportunities and you are only limited by your imagination, confidenceand perseverance. Tevera provides a list of all of the Practicum/Internship sitesthat have been utilized by Bellevue University MSCC students in the past.Effective Sept. 1st, 2020, students will need to observe the breaks that falloutside of the semesters. The student and on-site supervisor are expected tocoordinate care for clients that allows the student to take time off between thesemesters. The on-site supervisor and student will need to plan ahead and it is thestudent’s responsibility to remind the on-site supervisor of deadlines and end-ofsemester dates. The university supervisor will also stress the semester dates andthe need to observe the breaks in the email communication with the on-sitesupervisor throughout the sem
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